Voice or Choice? Patient and Public Involvement in the National Health Service in England under New Labour

2008 ◽  
Vol 38 (2) ◽  
pp. 333-356 ◽  
Author(s):  
Rudolf Forster ◽  
Jonathan Gabe
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Public Involvement ◽  
Patient And Public Involvement ◽  
New Labour

scholarly journals Primary care-led commissioning and public involvement in the English National Health Service. Lessons from the past

2014 ◽  
Vol 16 (03) ◽  
pp. 289-303 ◽  
Author(s):  
Christina Petsoulas ◽  
Stephen Peckham ◽  
Jane Smiddy ◽  
Patricia Wilson
Keyword(s):  
Primary Care ◽  
Health Care ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Health Care Services ◽  
Public Involvement ◽  
Negative Impact ◽  
Central Place ◽  
Patient And Public Involvement

BackgroundPatient and Public involvement (PPI) in health care occupies a central place in Western democracies. In England, this theme has been continuously prominent since the introduction of market reforms in the early 1990s. The health care reforms implemented by the current Coalition Government are making primary care practitioners the main commissioners of health care services in the National Health Service, and a duty is placed on them to involve the public in commissioning decisions and strategies. Since implementation of PPI initiatives in primary care commissioning is not new, we asked how likely it is that the new reforms will make a difference. We scanned the main literature related to primary care-led commissioning and found little evidence of effective PPI thus far. We suggest that unless the scope and intended objectives of PPI are clarified and appropriate resources are devoted to it, PPI will continue to remain empty rhetoric and box ticking.AimTo examine the effect of previous PPI initiatives on health care commissioning and draw lessons for future development.MethodWe scanned the literature reporting on previous PPI initiatives in primary care-led commissioning since the introduction of the internal market in 1991. In particular, we looked for specific contexts, methods and outcomes of such initiatives.Findings1. PPI in commissioning has been constantly encouraged by policy makers in England. 2. Research shows limited evidence of effective methods and outcomes so far. 3. Constant reconfiguration of health care structures has had a negative impact on PPI. 4. The new structures look hardly better poised to bring about effective public and patient involvement.

New Labour and Britain's National Health Service: An Overview of Current Reforms

2000 ◽  
Vol 30 (2) ◽  
pp. 309-334 ◽  
Author(s):  
Steve Iliffe ◽  
James Munro
Keyword(s):  
Health Care ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Medical Profession ◽  
New Labour ◽  
Professional Activity ◽  
Labour Government ◽  
Central Concern ◽  
The Subject

Britain's National Health Service (NHS) has been the subject of unprecedented market reforms, which have failed to solve its problems. The New Labour government elected in 1997 has halted the drive toward the marketization of health care and replaced cost with quality as the central concern of NHS administration and policy. Major changes are occurring in the regulation of professional activity, with profound implications for the medical profession and the health service. The authors discuss these changes and possible future problems for the NHS.

Police and public involvement

2016 ◽  
Vol 90 (3) ◽  
pp. 215-227
Author(s):  
Linda Evans
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Public Involvement ◽  
Evaluation Model ◽  
The Public ◽  
Real Nature ◽  
Police Agencies ◽  
Democratic Policing ◽  
The Uk

Public involvement is an ill-defined but important part of government policy. This paper suggests that there are lessons police agencies can learn from the National Health Service in the UK with regard to evaluating public involvement, which is a fundamental activity within the democratic policing model. A study undertaken by the author has enabled an understanding of public and patient involvement (PPI) in terms of its real nature. The study recognises the value of PPI for patients, members of the public and the National Health Service (NHS), and suggests that it is critical to evaluate the outcomes of PPI interventions in order to ensure that the rhetoric of PPI becomes reality and is of value. An evaluation model is outlined which the author suggests could be adapted for use by police agencies not only for the purpose of public involvement but also in relation to improving all services delivered by the police.

Community Involvement in Hospital Governance in Britain: Evidence from before the National Health Service

2008 ◽  
Vol 38 (4) ◽  
pp. 751-771 ◽  
Author(s):  
Martin Gorsky
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Community Involvement ◽  
Public Involvement ◽  
Popular Participation ◽  
Hospital Governance ◽  
The Public ◽  
Foundation Trusts ◽  
Health Care Governance

An important goal of policy in the British National Health Service (NHS) is to increase public involvement in health care governance. In the hospital sector this led in 2003 to the establishment of foundation trusts with “membership communities,” which aim to give local citizens a say in management. This is not the first attempt to introduce greater community participation in the running of British hospitals. Prior to the inception of the NHS in 1948, the hospital contributory scheme movement provided ordinary members of the public with the opportunity to sit on hospital management boards. The article examines the nature and extent of this earlier experiment with local democracy in hospital governance. It argues that historical precedent is not particularly encouraging, either for the prospect of broadening popular participation or for making services more responsive to local needs. Although today's context is very different, the tendency for managerial and professional interests to dominate the policy arena is a feature of both periods.

scholarly journals Is New Labour's "Third Way" new or just hot air in old bottles?

2006 ◽  
Vol 53 (2) ◽  
pp. 111-130
Author(s):  
Grazia Ietto-Gillies
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
New Labour ◽  
Third Way ◽  
Labour Government ◽  
The Third ◽  
Conservative Government ◽  
Hot Air ◽  
Economics And Politics

The paper discusses the main aims and characteristics of the three Ways in British economics and politics: the First Way refers to the period from after WWII to the mid 1970s; the second Way refers to the Conservative Government period starting from 1979; and the Third Way to the New Labour Government period since 1997. These three Ways are considered in relation to their main characteristics, the policies of the relevant governments and the problems they have encountered. The New Labour policies are analyzed in more details by reference to the case of the National Health Service. The reasons why the New Labour Way is different from the second Way as well as the problems it is facing are highlighted. A discussion of why New Labour has taken the Third Way route follows.

NHS: inequality and incorporation

Race & Class ◽  
2021 ◽  
Vol 63 (2) ◽  
pp. 76-81
Author(s):  
Wayne Farah
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Chief Executive ◽  
New Labour ◽  
Racial Equality ◽  
Hostile Environment ◽  
Ethnic Representation ◽  
Racial Democracy ◽  
Black Health

As chief executive Simon Stevens ends his stint at the helm of England’s National Health Service (NHS), a Black health activist takes a critical look at the direction of travel on racial equality under his leadership. He argues that ‘racial democracy’, i.e., ethnic representation or diversity, has displaced the rooting out of racialised injustice and inequality. Using the example of the health service, he reveals just how the struggle against racism in institutions has been reduced under neoliberalism to a mechanical mathematics of inequality. While, simultaneously, long-discarded eugenicist and biological arguments are making an unwelcome comeback, and the ‘hostile environment’, ushered in by New Labour when Stevens was a health adviser, takes its toll on migrants and refugees.

New Labour and the Third Way in the British National Health Service

1999 ◽  
Vol 29 (2) ◽  
pp. 353-370 ◽  
Author(s):  
Martin Powell
Keyword(s):  
Health Policy ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
New Labour ◽  
New Right ◽  
Third Way ◽  
The Third ◽  
Old Left ◽  
British Labour

The British Labour Party claims that its policies are based on a “third way,” new and distinct from both the old left and the new right. This article critically examines this claim with respect to health policy. After examining the Conservative legacy in the National Health Service and the evolution of Labour's health policy, the author introduces the concept of the “third way” and discusses the extent to which Labour's health policy can be seen in these terms, using the themes of spending, competition, accountability, and public health. There are many differences between the health policies of New and Old Labour, and some differences between those of New Labour and the Conservatives. Indeed, to a large extent Labour's health policy is built on the legacy of the Conservatives and is characterized by evolution. It is difficult to find any “big idea” or coherent philosophy behind the third way. Rather than being a new and distinctive approach rejecting both the old left and the new right, it seems to be a pragmatic pick and mix, attempting to combine the best from the market approach of the Conservatives and the hierarchical approach of Old Labour.

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